ABSTRACT This paper examines the experiences of people displaced internally by climate-related factors in mainland Bangladesh, one of the world's most climate-vulnerable countries. The data derives from a representative survey of 1,200 households drawn equally from displacement-susceptible areas and areas without climate-related displacement. Comparisons are drawn on the basis of four variables: the displaced versus the non-displaced; before displacement versus after displacement; people displaced suddenly versus those displaced gradually; and the frequency of past displacement. The displaced experience multiple disadvantages, including reduced land ownership and reduced access to electricity, sanitary toilets and healthcare services. The disadvantage is greater following sudden displacement and among those who have been displaced multiple times. The impact on the time and cost of accessing healthcare are greater after displacement. The disadvantage of the displaced, thus, is a function of interactions between exposure to natural disaster, impoverishment and lack of access to health services.

中文翻译：

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孟加拉国大陆与气候有关的流离失所，贫困和医疗保健可及性

摘要本文研究了在全球气候最脆弱的国家之一的孟加拉国内因气候相关因素而在国内流离失所的人们的经历。数据来自对1200户家庭的代表性调查，该调查均从易受流离失所影响的地区和无气候相关流离失所的地区平均抽取。根据四个变量进行比较：流离失所和非流失；位移前与位移后；突然流离失所的人与逐渐流离失所的人；以及过去流离失所的频率。流离失所者面临多种不利条件，包括土地所有权减少，电力供应，卫生厕所和医疗服务减少。在突然流离失所之后以及多次流离失所者当中，不利之处更大。流离失所后对获得医疗保健的时间和成本的影响更大。因此，流离失所者的不利之处是受自然灾害影响，贫困和无法获得保健服务之间相互作用的函数。